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Drug interactions

Amantadine + Belladonna and opium

Severity: Moderate

Amantadine and Belladonna and opium: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

The belladonna component adds antimuscarinic effects to those of amantadine, while the opium component adds constipation and sedation. Together they may cause confusion, urinary retention, constipation and excess sedation, especially in older patients.

What this interaction means in plain words

Amantadine and Belladonna and opium can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive anticholinergic effects, with additional opioid-related CNS depression and reduced gut motility.

What to do

Monitor for confusion, sedation, urinary retention and constipation, and use the lowest effective dose for the shortest time.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amantadine with Belladonna and opium?

MediHelp rates the interaction as moderate. Amantadine and Belladonna and opium can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. The belladonna component adds antimuscarinic effects to those of amantadine, while the opium component adds constipation and sedation. Together they may cause confusion, urinary retention, constipation and excess sedation, especially in older patients.

How serious is the interaction between Amantadine and Belladonna and opium?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for confusion, sedation, urinary retention and constipation, and use the lowest effective dose for the shortest time.

What other medicines interact with Amantadine?

MediHelp also lists interactions of Amantadine with, for example, Ethanol, Memantine-donepezil, Metoclopramide. The full list is on the Amantadine page.

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